Individual provider Active NPI

Nikki Lynn Parkinson, ACNP

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1295269959
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP10777 Issued in AZ
Practice address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone
(480) 834-9039
NPI assigned
Apr 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN156644 AZ
Acute Care Nurse Practitioner 363LA2100X AP10777 AZ Primary

Addresses

Primary practice location

612 W Baseline Rd
Mesa, AZ 85210-6041

Mailing address

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180601000140 AZ Practitioner - Nurse Practitioner 2769747351 Reassigns benefits to 4 organizations
I20250102000653 TX Practitioner - Nurse Practitioner 2769747351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salt River Pima-Maricopa Indian CommunityGroup PAC ID 6204078025, 43 clinicians
Desert Kidney Associates PLCGroup PAC ID 4284611286, 27 clinicians

Practice addresses (Care Compare)

10901 E McDowell Rd
Scottsdale, AZ 85256-5300
Phone (602) 466-5951

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039

Hospital & facility affiliations

  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122
  • Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130
  • Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP10777AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salt River Pima-Maricopa Indian Community CurrentSince Dec 9, 2024 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Feb 1, 2021 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jan 9, 2023 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Jan 9, 2023 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Desert Kidney Associates PLC CurrentSince Oct 1, 2023 Accepting new patients
Gila River Health Care CurrentSince Mar 13, 2025 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Dec 9, 2024 Accepting new patients
Gila River Health Care CurrentSince Mar 13, 2025 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients
Renal Dimensions, LLC Past Accepting new patients
Bio-Medical Applications of Arizona, LLC Past Accepting new patients

Locations

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

1515 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 389-9529

5200 E Cortland Blvd
Ste A4
Flagstaff, AZ 86004
Phone (928) 527-4990

875 N Greenfield Rd
Ste 110
Gilbert, AZ 85234
Phone (480) 757-3693

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

612 W Baseline Rd
Mesa, AZ 85210
Phone (310) 940-4170

6750 E Baywood Ave
Ste 505
Mesa, AZ 85206

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700

22715 S Ellsworth Rd
Bldg G
San Tan Valley, AZ 85142
Phone (480) 677-2463

37200 N Gantzel Rd
Ste 230
San Tan Valley, AZ 85140
Phone (480) 325-8173

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

2022 E Prince Rd
Tucson, AZ 85719
Phone (520) 327-0007

Interoperability endpoints

  • Direct secure messaging: nparkinson745701@direct.ochin.org
  • Direct secure messaging: nparkinson58563@direct.acumenmd.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1295269959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106041",
            "telephone_number": "480-834-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKINSON",
        "first_name": "NIKKI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN156644",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP10777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.